Ezro Fattakhov in Rego Park - General Practice

Ezro Fattakhov - NPI 1811046741

Ezro Fattakhov is a General Practice in Rego Park, New York. Ezro Fattakhov practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ezro Fattakhov is 1811046741. The last update date is 2007-07-08.

Ezro Fattakhov's current location address is 9926 64th Rd, Rego Park, New York. You can contact this provider via phone number 7188309091. The mailing address for Ezro Fattakhov is 9926 64th Rd, Rego Park, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Ezro Fattakhov
Address 9926 64th Rd, Rego Park, New York
Phone Number 7188309091
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1811046741
Provider Enumeration Date 2007-01-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9926 64th Rd
City Rego Park
State New York (NY)
Post Code 113742646
Phone Number 7188309091
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 46846
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1773835 NY --

Post Comment/ Review Below

FAQs about Ezro Fattakhov

What is the Ezro Fattakhov's 1811046741?

The Ezro Fattakhov's NPI (National Provider Identifier) Number is 1811046741. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Ezro Fattakhov located?

The Ezro Fattakhov is located at 9926 64Th Rd, Rego Park, NY 113742646.

What is Ezro Fattakhov's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ezro Fattakhov is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date was the 1811046741 assigned to Ezro Fattakhov?

The Ezro Fattakhov was issued its 1811046741 on 2007-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Ezro Fattakhov, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ezro Fattakhov, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

Other Providers of General Practice
Eric L Townsend

NPI Number: 1306849336

Address: 105 Solana Rd, Ponte Vedra, FL

George John Stratigopoulos

NPI Number: 1467455410

Address: 4808 Clairemont Mesa Blvd, San Diego, CA

Kenneth A Goodman

NPI Number: 1851394894

Address: 5925 Venture Park, Kalamazoo, MI

Fred L Horowitz

NPI Number: 1265435200

Address: 7872 W Sahara Ave, Las Vegas, NV

Mark Iriwn Kampfe

NPI Number: 1760485965

Address: 2900 Doolittle Dr Bldg 6000, Ellsworth Afb, SD

Kenneth Billings Allen

NPI Number: 1104829118

Address: 2117 Custer Dr, Fort Collins, CO

Judy Woodlief Warren

NPI Number: 1518960517

Address: 225 S Superior St, Albion, MI

Francine Piatt Miller

NPI Number: 1144223140

Address: 5532 Island Dr Nw, Canton, OH

Leslie C. Chow

NPI Number: 1124021118

Address: 1250 Hercules Ave, Hercules, CA

Igor V Kaplansky

NPI Number: 1033112024

Address: 8038 Rochester Rd, Gasport, NY

Anne Elizabeth Jacko

NPI Number: 1760485759

Address: 199 N Leavitt Rd, Amherst, OH

Jeffrey W Horowitz

NPI Number: 1679576664

Address: 1515 9th Ave, Conway, SC

Christian Edward Mathiesen

NPI Number: 1497758486

Address: 154 West Avenue, Saratoga Springs, NY

Jeffery C. Spathas

NPI Number: 1306849393

Address: 4901 Ne Glisan St, Portland, OR

Lisa Elias

NPI Number: 1215930201

Address: 443 Pearl Rd, Brunswick, OH